Culture, E1

Each culture has its own healers who usually

cost less than traditional or biomedical providers

While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following would most likely describe this patient’s view of wellness?

The humors must be balanced

What is the yin/yang theory of health?

Health exists when all aspects of the person are in perfect balance

Which of the following symptoms is greatly influenced by a person’s cultural heritage?

pain perception and expression

Which of the social determinants of health has the greatest infulence on a person’s health?

poverty / socioeconomic status

When considering cultural competence, the nurse must develop knowledge of discrete areas to understand the health care needs of others. These discrete areas include understanding of: (SATA)

Their heritage

heritage of the health system

heritage of the nursing profession

heritage of the patient

When completing a health assessment, which of the following actions most demonstrates cultural competence?

Ask about use of traditional, herbal, or folk remedies

Spirituality is defined as:

a personal effort to find meaning and purpose in life

Which of the following statements regarding language barriers and health care is true?

Standards have been identified that are important to eliminate health disparities

Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage?

Heritage consistency

In the _________ theory of health, health exists when all aspects of the person are in perfect balance

yin-yang

The __________ theory of health is an explanatory model with origins in the ancient Greek humoral therory

hot/cold

A social group within the social system that claims to possess variable traits such as common geographic origin, migratory status, and religion.

ethnicity

An organized system of beliefs concerning the cause, nature, and purpose of the universe, as well as attendance at regular services

Religion

The process of being raised within a culture and acquiring the characteristics of that group

Socialization

A broad term focused on a connection to something larger than oneself, and a belief in transcendence

Spirituality

The __________ theory of illness assumes that all events in life have a cause and effect

biomedical

The __________ theory of illness is the belief that the forces of nature must be kept in natural balance or harmony

naturalistic

The _________ perspective of illness depends on supernatural forces of good and evil

magicoreligious

Which statement best describes religion?

An organized system of beliefs concerning the cause, nature, and purpose, of the universe

The major factor contributing to the need for cultural care in nursing is:

demographic change

The term culturally competent implies that the nurse:

understands and respects diverse cultural beliefs and practices in healthcare.

You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication?

providing the patient with a paper and pencil so they can write down the answers to the questions you are asking

Which culture would describe illness as hot and cold imbalance?

Hispanic-American heritage

Of what does the patient believe the amulet is protective?

the evil eye

Which statement best illustrates the difference between religion and spirituality?

Religion is characterized by identification of a higher being shaping one's destiny, whereas spirituality reflects an individual's perception of one's life having worth or meaning

The first step of cultural competency by a nurse is to:

understand your own heritage and its basis in cultural values

Which statement is true in regards to pain?

The cultural background of a patient is important in a nurse’s assessment of that patients pain

Which factor is identified as a priority influence on a patient’s health status?

poverty

Which statement is most appropriate to use when initiating as assessment of cultural beliefs with an older American Indian patient?

What cultural of spiritual beliefs are important to you?

Which statement best describes ethnocentrism?

The tendency to view your own way of life as the most desirable

Which category is appropriate in a cultural assessment?

Health related beliefs

Which health belief practice is associated with patients who are of American Indian Heritage?

believing that forces of nature must be kept in natural balance

Which statement best reflects the magicoreligious causation of illness?

belief in the struggle between good and evil is reflected in the regulation of health and illness

___________ ensures that non-native English speaking patients receive care in a manner in which they linguistically understand. Under the provisions of Title VI of the Civil Rights Act of 1964, when people with LEP (limited English Proficiency) seek health care in settings such as:

1. Hospitals
2. Nursing homes
3. Clinics
4. Daycare centers and
5. Mental health centers
Services cannot be denied to them

linguistic competence

___________________________is the process of being raised within a culture and acquiring the norms, values, and behaviors of that group

Socialization or enculturation

When such groups function within a large culture, they are referred to as_____________

subcultural groups

Culture has four basic characteristics:

Learned from birth

Shared by all members

Adapted to specific conditions

Dynamic and ever changing

Ethnicity refers to:

A social group with a shared cultural heritage, including language, traditions, and customs.

Acculturation:

The process of cultural change and adaptation that occurs when individuals from one culture come into contact with another culture, often leading to the adoption of cultural traits.

Ethnic identity is ________

one’s self-identification with a particular ethnic group

Assimilation:

the expectation that immigrants would take on the characteristics of the dominate culture

Biculturalism and integration:

the ability to navigate and adopt elements from two different cultures, often leading to a harmonious coexistence of cultural identities.

Acculturative stress

lossess and changes that occur when adjusting to a new system of beliefs, routines, and social roles

A means of self identification, refers to a group of people who share similar physical characteristics

Race

Religion and Spirituality

Major aspects of culture, can be interrelated and do not have to exists simultaneously

Spirituality

a broad concept that encompasses personal growth, meaning, and connection to something greater than oneself, often involving practices or beliefs that may or may not be organized.

Religion

A system of beliefs, practices, and values often centered around the worship of a higher power or deity, influencing moral and ethical behavior.

American Indians may seek assistance from:

a shaman

medicine man/woman

Brauche

a traditional healing practice among the Pennsylvania Dutch, involving herbal remedies and spiritual rituals.